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dc.contributor.authorGomoll, Andreas H.
dc.contributor.authorMadry, Henning
dc.contributor.authorKnutsen, Gunnar
dc.contributor.authorvan Dijk, Niek
dc.contributor.authorSeil, Romain
dc.contributor.authorBrittberg, Mats
dc.contributor.authorKon, Elizaveta
dc.date.accessioned2011-04-18T00:03:46Z
dc.date.issued2010
dc.identifier.citationGomoll, Andreas H., Henning Madry, Gunnar Knutsen, Niek van Dijk, Romain Seil, Mats Brittberg, and Elizaveta Kon. 2010. The subchondral bone in articular cartilage repair: current problems in the surgical management. Knee Surgery, Sports Traumatology, Arthroscopy 18(4): 434-447.en_US
dc.identifier.issn0942-2056en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:4853392
dc.description.abstractAs the understanding of interactions between articular cartilage and subchondral bone continues to evolve, increased attention is being directed at treatment options for the entire osteochondral unit, rather than focusing on the articular surface only. It is becoming apparent that without support from an intact subchondral bed, any treatment of the surface chondral lesion is likely to fail. This article reviews issues affecting the entire osteochondral unit, such as subchondral changes after marrow-stimulation techniques and meniscectomy or large osteochondral defects created by prosthetic resurfacing techniques. Also discussed are surgical techniques designed to address these issues, including the use of osteochondral allografts, autologous bone grafting, next generation cell-based implants, as well as strategies after failed subchondral repair and problems specific to the ankle joint. Lastly, since this area remains in constant evolution, the requirements for prospective studies needed to evaluate these emerging technologies will be reviewed.en_US
dc.language.isoen_USen_US
dc.publisherSpringer-Verlagen_US
dc.relation.isversionofdoi:10.1007/s00167-010-1072-xen_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC2839476/pdf/en_US
dash.licenseLAA
dc.titleThe subchondral bone in articular cartilage repair: current problems in the surgical managementen_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalKnee Surgery, Sports Traumatology, Arthroscopyen_US
dash.depositing.authorGomoll, Andreas H.
dc.date.available2011-04-18T00:03:46Z
dash.affiliation.otherHMS^Orthopedic Surgery-Brigham and Women's Hospitalen_US
dc.identifier.doi10.1007/s00167-010-1072-x*
dash.contributor.affiliatedGomoll, Andreas H.


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